- Practice location
- 4901 N Kedzie Ave, Chicago, IL 60625-5009
- Phone
- 773-509-9200
- Fax
- 773-509-9247
- Last updated
- January 24, 2020
1ST Family Dental INC is a healthcare organization based in Chicago, IL. 1ST Family Dental INC practices in Chicago, IL. The NPI Number for 1ST Family Dental INC is 1730363094 and holds a License No. 019023616 (IL). The current practice location address for 1ST Family Dental INC is 4901 N Kedzie Ave, Chicago, IL 60625-5009 and can be reached out via phone at 773-509-9200 and via fax at 773-509-9247.
Provider Profile Details
- NPI Number
- 1730363094
- Provider Name
- 1ST Family Dental INC
- Provider Entity Type
- Organization
- Address
- 4901 N Kedzie Ave, Chicago, IL 60625-5009
- Phone Number
- 773-509-9200
- Fax Number
- 773-509-9247
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Vesna Belkic · General Manager · 773-340-8318
- Other Names
- 1ST Family Dental Of Albany Park (Doing Business As)
- Provider Enumeration Date
- December 21, 2007
- Last Update Date
- January 24, 2020
- Certification Date
- January 24, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4901 N Kedzie Ave
Chicago, IL 60625-5009 - City
- Chicago
- State
- Illinois
- Zip
- 60625-5009
- Phone Number
- 773-509-9200
- Fax Number
- 773-509-9247
Provider Business Mailing Address Details
- Address
- 4901 N Kedzie Ave
Chicago, IL 60625-5009 - City
- Chicago
- State
- IL
- Zip
- 60625-5009
- Phone Number
- 773-509-9200
- Fax Number
- 773-509-9247
License Information
- License Number
- 019023616
- License State
- IL
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 1ST Family Dental INC?
The NPI number of 1ST Family Dental INC is 1730363094. It was assigned on December 21, 2007 and is currently active in the NPPES registry.
What is the specialty of 1ST Family Dental INC?
1ST Family Dental INC is registered under the primary taxonomy Dentist (code 122300000X), licensed in IL under license number 019023616.
Where does 1ST Family Dental INC practice?
The practice location is 4901 N Kedzie Ave, Chicago, IL 60625-5009. The office can be reached at 773-509-9200 (phone) or 773-509-9247 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730363094 directly on the NPPES registry website.